Organization
WINCHESTER OPTICAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LANA BRADLEY (OPTICIAN)
(931) 967-2230
Entity
Organization
Contact information
Practice address
183 HOSPITAL RD, WINCHESTER, TN 37398-2470
(931) 967-2230
Mailing address
183 HOSPITAL RD, WINCHESTER, TN 37398-2470
(931) 967-2230
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
TN OD 494
TN
Other
Enumeration date
03/30/2007
Last updated
01/30/2008
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